Active NPI
Suzanne Ayarza, LPC ASSOCIATE
- Professional Counselor
- Eagle Pass, TX
National Provider Identifier
1700535226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 87444
- Practice address
- 2677 Fox Cove Dr # a
Eagle Pass, TX 78852-4993 - Phone
- (210) 749-5671
- NPI assigned
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 87444 | TX | Primary |
Addresses
Primary practice location
2677 Fox Cove Dr # a
Eagle Pass, TX 78852-4993
Mailing address
2677 Fox Cove Dr # a
Eagle Pass, TX 78852-4993
Phone (210) 749-5671
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87444 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inclusive Minds, PLLC | Professional | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1700535226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2677 FOX COVE DR # A",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524993",
"telephone_number": "210-749-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2677 FOX COVE DR # A",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524993",
"telephone_number": "210-749-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYARZA",
"first_name": "SUZANNE",
"credential": "LPC ASSOCIATE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-22",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "87444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.